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General NPI Number Information
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NPI Number | 1184973562
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Entity Type | Organization
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Legal Business Name | MOTHERS LOVE HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 08/31/2012
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Last Update Date | 08/31/2012
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Provider Practice Location Address
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Address Line | 9302 CARSINS RUN APT K
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City | OWINGS MILLS
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State | MD
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Zip | 21117-3592
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Country | US
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Telephone | 180-051-7864
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1956
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City | BELTSVILLE
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State | MD
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Zip | 20704-1956
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Country | US
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Telephone | 180-051-7864
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ENOCK ANNOR
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Credential |
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Telephone | 18005178643
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | R3223
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License Number State | MD
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